RYAN RUSSO
NPI 1295336956
Clinical Nurse Specialist in San Diego, CA

Q: What is Ryan Russo's NPI number?

The NPI number for Ryan Russo is 1295336956. It was assigned to this individual provider in the NPPES registry on November 7, 2020.

Q: What is Ryan Russo's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Russo was last updated on November 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 07, 2020

2376 SOTO ST, SAN DIEGO, CA 92107(414) 803-6018 Get Directions Write a Review

NPPES record last updated: November 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ryan Russo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN RUSSO (NPI 1295336956) is an individual clinical nurse specialist in San Diego, California, licensed in California (4605) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1295336956

Entity TypeIndividualMale

Primary Taxonomy364S00000X

Provider Legal NameRYAN RUSSO

Location Address2376 SOTO STSan Diego, CA 92107-1410

Mailing Address2376 Soto StSan Diego, CA 92107-1410 · (414) 803-6018

Phone(414) 803-6018

Sole ProprietorYes

Enumeration DateNovember 7, 2020

NPPES CertifiedNovember 7, 2020

✔ NPI 1295336956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364S00000X

License✔ Licensed in CA · 4605

Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.

2376 SOTO ST, San Diego, CA 92107

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Russo's NPI number?

The NPI number for Ryan Russo is 1295336956. It was assigned to this individual provider in the NPPES registry on November 7, 2020.

Where is Ryan Russo located?

Ryan Russo practices at 2376 Soto St, San Diego, CA 92107. The listed phone number is (414) 803-6018.

What is Ryan Russo's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

When was this NPI record last updated?

The NPPES record for Ryan Russo was last updated on November 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.